DODGE STREET - SIGN PERMIT - DESCHAMPS Dodge Street
Winer Bros. Hardware
ON 10`30
To Tam CONN
r rrmt riwnCer
PERMIT MUST BE OBTAINED BEFORE BEGINNING(YORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE,ONE SET TO BE FILED WITH THE PLANNING
DEPA.QTMENT,A.ND ONE SET(BEARING THE APPROVAL OF THE PLANNING DEPARTMENT)TO BE
FILED'NffH THE BUILDING INSPECTOR.
Locarian,Ownership and Dead Muu be Correct,Complete and Legible. Separate
Application Required for Every Sign.
Application for Permit to Erect a Sign C
' ""`- Salem,MassachuSeUS 3�5 19 9/
TO THE BUILDiNG INSPECTOR, ��11
The undersigned hereby applies for a per ii to X Evect,_Alter,_Repair
a sign on the following described building r II
Locati�,and No. Zoningloistrict
Name o(Property Owner D 0 P ea\�-q ``ao%; ' r/,IPI
Name of Sign Owner lc
yy a vvl n s �r 1 r�,vlq On q q• �qj'�- r
c
Address 11n r{QO �l�V'22� i lfti`P 1v1 1/)+4 \\ / T
It Owner is a corporate body,name of responsible oficer H 2evj IP a CNl a c ca m e C NO
Name of Licensed Sign frector X,9-0 E R ,)i o E '�F ( r;
Address1 IUO✓-i-�I t G�.Rd,1 pT JtG� Salem License No.
Useoi Building: Ist Floor 3rd Floor
2nd Floor +,[ 4th Floor
Type o(Sign: V"Suciace, _Right Angles to Building, _Free Standing
_Other(specify) Height: f�
Sign Materials 1fluN9• Skt2:4112-". L�e'm- - oily '+Tuiie- -Ag MLY-��/TRQ ne OZLZ ,
Sign Dimensions W ,r jl�- f4P,� Sign Aca SF
Ebsting Signs: Sumacs Sign Area SF
Right Angies: Sign Area 5F
Fcee Standing: Sign Arca SF
Othen.. Sign Area 5F
Signs to be Removed: Type .Sign Area SF
Frontage: Building FT Property FT
Signatare a(Cwner r � /�l�ti�
Signature ' . e!� Rep �i
Addm
Estimated Cast �� Telephone
of New worts S
Signature of Pnspemi Owner
APPROVALS:
r •
Salem PIn tng Oeparnment Superintendent of StrettS m
Historical Commission
an
REVERSE SIDE PL£+SE SHOW SIGN 51ZE.COLOR,LOCATION:LOCATION OF OTHER SIGNS ,.NO BUILOING
ENTRANCE.
4 d +L/BSSVL F)NTK3SNTEThfa W--lHC WnH-t WAC11c:r cMC'I_r 1_7
i
DESCHAMPS PRINTING COMPANY, INC.
W1-NER BRCS_, HARDIV.A-RE = -
F
v
i
Lafayette Street
Door Sign
7`J i 1
HflS. GATE TO TME OADEfl OF GROSS F t .A FED.W A STATE e c CHECK AMO{Mi
DESCRI ION mIBG.
DESCHAMPS PRIMING CO.I%
SALEM,MASS:01970
PAYE'E'S RECORO OF EARNINGS OR PAYMENTS
OATS INVOICE AMcuNT -
De u �r! Printing Company, Inc. - - DATE �9 33150
Dodge Street Salem, MA 01970-0127
53-7055-
2113
PAY
It418:1itiiVl'f t;,P �ri 1 I!'
��•; 1 f,C�• - DOLLARS .ya(J,L^O -
TO
_ THE ORDER
OF
- SALEM FIVE CENTS SAVINGS BANK
SALEM..MASSACHUSETTS 019](1
11103315011' 1: 2113705581: 89110860711' - _